Election Worker Application

Please complete this application and click CONTINUE to apply for a position as an Election Worker. If you have any trouble with your electronic request, please call our office for assistance, Thank you.

First Name*:

Middle Name or Initial:

Last Name*:

Florida Voter Registration Number (if known):

Phone Number*:

Street Address*:

City*:

Zip Code*:

Your Home Precinct:

E-mail Address*:

Please specify what position you are interested in serving as:

What is your current/last occupation?

Please check all that apply:

I am a citizen of the United States and a resident of this county.

I am able to speak, read, and write the English language.

I have my own transportation.

I am able to lift at least 40 pounds.

I am able to start work at 6:00 a.m. and work 14 or more hours per day.

I am comfortable working with a personal computer system.

Other than English, please specify other languages you know:

"By clicking on the Continue button below, I certify that the foregoing answers are true, that I have read and understand the foregoing, that I have no physical disabilities that would hinder my performance at the polls, that I am now a registered voter in this County and I can read and write the English language as required by Florida State Law"

Please note: After completing this application and the orientation process, you will become part of our pool of prospective poll workers.Your name will remain active until you request that it be removed.Not all poll workers work every election. The number of poll workers for each election is determined by the size of the election and the expected turnout.Poll workers are chosen to work a specific election by their availability, willingness to travel, and the number of workers needed. While we like to keep an election board constant throughout an election cycle, this often cannot be done.

Brian E. Corley

Supervisor of Elections
Pasco County

Mailing Address:

PO Box 300, Dade City, FL 33526
M-F 8:30 a.m. - 5:00 p.m.

Contact:

Under Florida law, F.S. 668.6076, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request,
do not send electronic mail to this entity. Instead, contact this office by phone or in writing.